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Alpha Health

Alpha Individual Health

Why Alpha Health?

Alpha Health is a family and individual medical insurance. It is easily accessible to country wide service provider networks. One can also access it using a smart card.

  • Access to countrywide service provider network
  • Smart Card based
  • Declared pre-existing chronic, non-chronic and HIV/AIDS
  • Lodger fee for children below 8 years of age
  • Overseas treatment on referral
  • Overseas emergency treatment for the first 45 days of travel
  • Local emergency road and air evacuation
  • Psychiatric illness
  • First emergency caesarean section
  • Congenital conditions
  • Inpatient non accidental optical benefit including laser treatment
  • Inpatient non accidental dental benefit
  • Post hospitalization review expenses up to 21 days after discharge
  •   Free last expense
  • Limits from Ksh 300,000 to Ksh 2,000,000 per person

Benefits

In-patient Benefits

  • Admission in a NHIF accredited hospital
  • Accommodation for parent/guardian accompanying a child below 8 years
  • Doctors’, Surgeons’, and Specialists’ fees.
  • Laboratory investigations, x-rays, ultrasound, ECG, MRI scans
  • Prescribed drugs, dressings, surgical appliances, and nursing procedures
  • Theatre charges including Surgeons’ and Anesthetists’ fees
  • Intensive care (ICU)/High Dependency Unit (HDU)
  • Radiotherapy, chemotherapy, physiotherapy
  • Gynecological treatment
  • Day Care surgery

Outpatient Benefits

  • Consultation  with a general practitioner and specialist
  • Diagnostic examinations
  • Prescription medicines
  • Outpatient procedures e.g. dressing
  • Immunizations and vaccinations for children (KEPI recommended)
  • Minor trauma treatment
  • Gynecological treatment

Maternity Benefits

  • Delivery expenses
  • Maternity related complications
  • Pre and post natal care
  • Caesarean section 

Rates

Per person (Individual Limits)

 Inpatient Benefits (Rates in Ksh)

 Overall Cover Limit
 300,000 500,000 1,000,000 2,000,000
 3 Months - 18 Years
  8,430 10,535 12,66016,882
            19 -29 Years
 12,884 15,688 18,971 23,329
 30 - 39 Years 15,545 18,134 21,70627,155
 40 - 49 Years
 18,275 21,501 26,24434,282
  50 - 59 Years 24,345 29,310 35,75846,708
  60 - 64 Years 28,472 31,654 42,45058,444
 65 - 70 Years
 30,025 32,047 46,65164,244

 

 

 

Outpatient Benefits (Rates in Ksh)

 Overall Cover Limit
 30,000 50,000 75,000 100,000
 3 Months - 29Years
 11,090 17,970 21,662 26,408
           30 - 39 Years 12,594 19,267 23,143 28,127
           40 - 49 Years
 13,810 21,150 25,413 30,895
           50 - 54 Years 16,484 25,291 30,408 36,986
  55 Years and above
 19,693 30,262 36,401 44,295

 

 

 Maternity Rates (Rates in Ksh)

Limit
Premiums
50,000
 22,641
 75,000 30,175
100,000
  35,198

 

 

Alpha Family Health

Why Madison Alpha Health?

Madison Alpha Health is a family and individual medical insurance. It is easily accessible to country wide service provider networks. One can also access it using a smart card.

  •  Access to countrywide service provider network
  • Smart Card based
  • Declared pre-existing chronic, non-chronic and HIV/AID
  • Lodger fee for children below 8 years of age
  • Overseas treatment on referral
  • Overseas emergency treatment for the first 45 days of travel
  • Local emergency road and air evacuation
  • Psychiatric illness
  • First emergency caesarean section
  • Congenital conditions
  • Inpatient non accidental optical benefit including laser treatment
  • Inpatient non accidental dental benefit
  • Post hospitalization review expenses up to 21 days after discharge
  •   Free last expense
  • Limits from Ksh 300,000 to Ksh 5,000,000 per family

Benefits

In-patient Benefits

  • Admission in a NHIF accredited hospital
  • Accommodation for parent/guardian accompanying a child below 8 years
  • Doctors’, Surgeons’, and Specialists’ fees.
  • Laboratory investigations, x-rays, ultrasound, ECG, MRI scans
  • Prescribed drugs, dressings, surgical appliances, and nursing procedures
  • Theatre charges including Surgeons’ and Anesthetists’ fees
  • Intensive care (ICU)/High Dependency Unit (HDU)
  • Radiotherapy, chemotherapy, physiotherapy
  • Gynecological treatment
  • Day Care surgery

Outpatient Benefits

  • Consultation  with a general practitioner and specialist
  • Diagnostic examinations
  • Prescription medicines
  • Outpatient procedures e.g. dressing
  • Immunizations and vaccinations for children (KEPI recommended)
  • Minor trauma treatment
  • Gynecological treatment

Maternity Benefits

  • Delivery expenses
  • Maternity related complications
  • Pre and post natal care
  • Caesarean section

Rates

Inpatient premium Table (Annual Rate per Family in Ksh)

Overall Cover Limit
300,000
 500,000 1,000,000 2,000,0003,000,000
 5,000,000
 M  15,545  18,134     21,706
     27,155    31,500      50,000
 M+1  21,374  24,934
     29,846     37,388    43,313     68,750
 M+2  25,863  30,170     36,113     45,179    52,408     83,188
 M+3  30,352  35,407     42,381     53,020    61,504     97,625
 M+4  34,840  40,643     48,649     68,861    70,599    112,603
 M+5  39,329  45,879     54,916     68,702    79,695    126,500
 M+6  43,817  51,115     61,184     76,543    88,791    140,938
 M+7  48,306  56,351     67,451     84,384    97,886    155,375
 M+8  52,795  61,588     73,719
     92,225
  106,982
    169,813
Extra   4,489   5,236       6,268       7,841     9,096      14,438

 

Outpatient premium table (Annual Rate per Family)

Overall Cover Limit 50,00075,000
100,000
 M 21,15025,413
  30,895
 M+1 29,08134,943  42,481
 M+2 35,18842,281  51,402
 M+3 41,29549,619  60,322
 M+4 47,40256,957  69,243
 M+5 N/A64,295  78,164
Extra
 N/A  7,338    8,921

 


 Maternity Rates (Rates in Ksh)

Limit
Premiums
50,000
 22,641
 75,000 30,175
100,000
  35,198

 

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